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Drugged-up Andrejs Afanasjevs, a Russian-speaking Latvian national, carried out the "sustained" attack on a Sunday morning in August 2014 before fleeing to his home country for three years.

The now-48-year-old was arrested at the airport when he returned to the UK in September last year and a jury at Leeds Crown Court found him guilty of rape during a trial earlier this month.

Today (Thursday), Afanasjevs, of Dorset Mount in Harehills, was jailed for seven-and-a-half years.

The victim was a 25-year-old prostitute, who used drugs daily at the time, needs alcohol to be able to do her work and described her way of life as a "way of survival".

Judge Simon Phillips QC said: "She told the jury that she agreed to go with you to St James' Hospital and she agreed to perform oral sex on you for £20, but it is apparent that you were not but you were not interested in her consent."

Afanasjevs injected himself with amphetamines and was "insistent" that the sex worker take some too, but she refused as she did not know if they were safe.

Then he gripped her neck and, holding her head in place so she was unable to move, rammed his penis repeatedly into her mouth, causing her to gag, making her unable to breathe and, as he choked her, eventually she even felt her racing heart beat begin to slow down.

The attack happened at St James' Hospital in 2014

The judge said that even though the victim describes herself as a "tough" girl he scared her, saying: "She stated she thought she was going to die."

He added: "She described the look in your eyes as pure evil."

She managed to bite her attacker's penis, causing him to jump away from her, and told him she heard someone coming, causing him to unlock the door.

"Shocked, trembling and scared", she immediately reported it to the police.

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The judge also said: "She stated that she would have consented to perform oral sex if you had paid her beforehand, as requested and as required.

"What she did not consent to was being violently attacked."

CCTV footage showed that the pair had been in the toilets for 30 minutes and DNA from the defendant's sperm was in a condom found at the scene.

During the trial, the victim was so upset that she had to leave the building half-way through her evidence.

The judge described Afanasjevs as a persistent offender in his home country, having served prison sentences on a regular basis since 2005 for robbery, theft, criminal damage and drug-related offences, who spoke in broken English and needed an interpreter in court, but the victim said he spoke English well when he raped her.Rapist "violently" forced prostitute to perform sex act in Leeds hospital toilet.

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